PASSMED PAPER WRONG ANSWERS 3

Question 1

what is the rate of IV insulin infusion in DKA

Answer 1

0.1ml/kg/hr

Question 2

when should a PPI be given with an SSRI

Answer 2

if interacting with NSAID or aspirin

Question 3

when do postpartum women need contraception

Answer 3

21 days from giving birth

Question 4

what is the first line for induction of labour

Answer 4

vaginal prostaglandin

Question 5

when should women stop COCP/HRT before having surgery

Answer 5

at least 28 days

Question 6

what is the first line for prolactinoma

Answer 6

bromocriptine

Question 7

what is blood stained discharge most likely associated with

Answer 7

duct papilloma

Question 8

what blood tests are good indicators of liver function

Answer 8

PT and albumin

Question 9

when is FFP needed over platelet transfusion

Answer 9

when there are low levels of coagulation factors with a low INR

Question 10

what can CLL transformation into and what is that called

Answer 10

Non- Hodgkin’s lymphoma

Richter Transformation

Question 11

when is a vasectomy considered a form of contraception

Answer 11

clear semen analysis is seen

Question 12

what drug is important to suspend before coronary angiography

Answer 12

metformin

Question 13

what is the benefit for prescribing albumin when treating large volume ascites

Answer 13

it reduces postparencetesis circulatory dysfunction

Question 14

what pH values is it safe to aspirate with NG tuves

Answer 14

<5.5

Question 15

what is the pH for vaginal candidiasis

Answer 15

<4.5

Question 16

what management is recommended after wide-local excision

Answer 16

radiotherapy

Question 17

what offers prognostic value in pancreatitis

Answer 17

glucose levels

Question 18

what anti platelet is preferred post stroke

Answer 18

clopidogrel

Question 19

what is given for widened QRS in tricyclic overdose

Answer 19

IV bicarbonate

Question 20

management for threadworm

Answer 20

mebendazole

Question 21

what is given to manage acute flares of RA

Answer 21

methylprednisolone

Question 22

how should a staggered paracetamol overdose be managed

Answer 22

N-acetylcysteine

Question 23

what is the first line investigation to investigate reduced fetal movements

Answer 23

handheld doppler

Question 24

what mechanism of injury causes ankle sprain

Answer 24

inversion

Question 25

how should patients with obstructive urinary calculi and signs of infection be managed

Answer 25

urgent renal decompression and IV antibiotics

Question 26

how are chronic symptoms managed in vestibular neuritis

Answer 26

vestibular rehabilitation

Question 27

what is the main RF for cholangiocarcinoma

Answer 27

primary sclerosing cholangitis

Question 28

what palsy do you think of if vision is worse when looking down

Answer 28

4th nerve

Question 29

how do you confirm ovulation

Answer 29

take serum progesterone level days before next expected period

usually day 28